<div id="box">
  <h3 id="adduser">Add user</h3>
  <form id="form" action="..." method="post">
    <fieldset id="personal">
      <legend>PERSONAL INFORMATION</legend>
      <label for="lastname">Last name : </label>
      <input name="lastname" id="lastname" type="text" tabindex="1" />
      <br />
      <label for="firstname">First name : </label>
      <input name="firstname" id="firstname" type="text" 
                        tabindex="2" />
      <br />
      <label for="email">Email : </label>
      <input name="email" id="email" type="text" 
                        tabindex="2" />
      <br />
      <p>Send auto generated password
        <input name="generatepass" id="yes" type="checkbox" 
                        value="yes" tabindex="35" />
      </p>
      <label for="pass">Password : </label>
      <input name="pass" id="pass" type="password" 
                        tabindex="2" />
      <br />
      <label for="pass-2">Password : </label>
      <input name="pass-2" id="pass-2" type="password" 
                        tabindex="2" />
      <br />
    </fieldset>
    <fieldset id="address">
      <legend>Address</legend>
      <label for="street">Street address : </label>
      <input name="street" id="street" type="text" 
                        tabindex="1" />
      <br />
      <label for="city">City : </label>
      <input name="city" id="city" type="text" 
                        tabindex="2" />
      <br />
      <label for="country">Country : </label>
      <input name="country" id="country" type="text" 
                        tabindex="1" />
      <br />
      <label for="state">State/Province : </label>
      <input name="state" id="state" type="text" 
                        tabindex="2" />
      <br />
      <label for="zip">Zip/Postal Code : </label>
      <input name="zip" id="zip" type="text" 
                        tabindex="2" />
      <br />
      <label for="tel">Telephone : </label>
      <input name="tel" id="tel" type="text" 
                        tabindex="2" />
    </fieldset>
    <fieldset id="opt">
      <legend>OPTIONS</legend>
      <label for="choice">Group : </label>
      <select name="choice">
        <option selected="selected" label="none" value="none"> General </option>
        <optgroup label="Group 1">
        <option label="cg1a" value="val_1a">Selection group 1a </option>
        <option label="cg1b" value="val_1b">Selection group 1b </option>
        <option label="cg1c" value="val_1c">Selection group 1c </option>
        </optgroup>
        <optgroup label="Group 2">
        <option label="cg2a" value="val_2a">Selection group 2a </option>
        <option label="cg2b" value="val_2a">Selection group 2b </option>
        </optgroup>
        <optgroup label="Group 3">
        <option label="cg3a" value="val_3a">Selection group 3a </option>
        <option label="cg3a" value="val_3a">Selection group 3b </option>
        </optgroup>
      </select>
    </fieldset>
    <div align="center">
      <input id="button1" type="submit" value="Send" />
      <input id="button2" type="reset" />
    </div>
  </form>
</div>